Cevaplı Önceliklendirme ve yetki devri çalışma kâğıdı

A conscious adult with hypoglycemia can swallow safely. What should the nurse give first?

1. AIV glucose through a new cannula as the first choice for every patient
2. BA large protein meal
3. CA fast-acting carbohydrate by mouth, such as glucose tablets or juice
4. DThe next dose of insulin

Does asking a patient directly about suicidal thoughts increase their risk?

1. AOnly when the question is asked in writing
2. BNo; asking directly is safe and helps assess the risk
3. CYes; asking about it may give the patient the idea
4. DOnly if the patient is over 65 years old

An adult without lung disease is breathing room air. Which SpO₂ reading needs action?

1. A99%
2. B96%
3. C89%
4. D97%

After a hip replacement, a patient has sudden severe hip pain, and the operated leg looks shorter and turned. What should the nurse suspect?

1. ANormal pain after surgery
2. BA urinary tract infection
3. CA pressure injury on the heel
4. DDislocation of the new hip

A nurse has given rapid-acting insulin, and then learns that the patient’s meal tray will be 45 minutes late. What should the nurse do?

1. AGet the patient some carbohydrate food now and check the glucose
2. BTell the patient to wait and do nothing until the tray comes
3. CGive a second, smaller dose of insulin when the meal tray finally arrives
4. DAsk the patient to walk around the ward until the food arrives

A nurse sees a nursing assistant leave a confused patient’s bed in the highest position after care. What should the nurse do?

1. ALower the bed now and remind the assistant why it matters
2. BLeave it because the patient is asleep
3. CWrite it in the assistant’s yearly review only
4. DAsk the family to lower the bed when they next visit

A patient has a chest drain for a pneumothorax. The nurse sees constant bubbling in the water-seal chamber. What does this most likely mean?

1. AThe suction is set too low and needs to be turned up
2. BThe lung has fully re-expanded, so the drain is ready to come out
3. CAn air leak in the patient or the system that needs checking
4. DThe drain is working normally and no action is needed

A patient in labor is receiving oxytocin, and the fetal monitor shows repeated late decelerations. What should the nurse do first?

1. AStop the oxytocin infusion
2. BIncrease the oxytocin rate
3. CPlace the patient flat on her back
4. DEncourage the patient to start pushing